Kettle Moraine Lutheran High School

Educating for life and for eternity

Athletic Paperwork PDF Print E-mail

Physical Exams Required!

Students planning to participate in athletics are required to have a physical (WIAA green card) and a signed "Participation Consent Form" and the "Parent & Athlete Concussion Agreement Form".  All forms should be on file at KMLHS no later than August 1, 2013.  Forms may be mailed or dropped off in the main office.  These forms will be included in the April statement for current students and in the May registration mailing for incoming freshmen (Class of 2017).  For additional copies of these forms, please stop in the main office of the school to request them.  Make your appointment for a physical as soon as possible, after April 1.  Athletes will not be able to try out or practice for a team without the required paperwork on file.

Please contact the Athletic Office with questions - 262-677-4051 ext 1103.

WIAA Physical Form  (green)

-Incoming Freshmen and Juniors typically need this form
-It needs to be signed by the doctor
-The rest needs to be completely filled in by the parent and signed

Sport Physicals at West Bend High School, Wednesday, July 24 - Flyer

WIAA Alternate Year Physical Form  (beige)

-Sophomores and Seniors typically need this form
-It needs to filled out completely and signed by the parent 

2013-2014 Participation Consent Form (yellow)
            WIAA Rules of Eligibility Bulliten

-This is needed by all students participating in athletics
-It needs to be read by both athlete(s) and parent
-It needs the parent and student(s) signature(s) and dates
-The top part is to be kept by the parent
-Cut off bottom part and submit to the Athletic Office by August

Parent & Athlete Concussion Agreement (On page 2, you only need to answer the two concussion related questions.)

           -According to state law, this form needs to be filled out for EACH sport season, fall, winter and spring.
          -Concussion ABC's for Parents
          -Concussion ABC's for Athletes

Concussion Requirements - Wisconsin Concussion Law Act 172 - Statute 118.293
The law requires all youth athletic organizations to educate coaches, athletes and parents on the risks of concussions and head injuries and prohibits participation in a youth activity until the athlete and parent or guardian has returned a signed agreement sheet indicating they have reviewed the concussion and head injury informational materials. The law requires immediate removal of an individual from a youth athletic activity if symptoms indicate a possible concussion has been sustained. A person who has been removed from a youth athletic activity because of a determined or suspected concussion or head injury, may not participate again until he or she is evaluated by a health care provider and receives written clearance from the health care provider to return to the activity. 

What this means to you...
At the beginning of EACH athletic season, all participating athletes and parents must read the Concussion ABC's for Parents/Athletes and sign the Parent & Athlete Concussion Agreement form. No person may participate in a youth athletic activity unless the person returns the agreement signed by the person and, if he or she is under the age of 19, by his or her parent or guardian.

For more information, visit WIAA's Concussion Information website.


Senior Photo Uniform Request Form


Last Updated on Wednesday, 22 May 2013 11:53
 

Empowered by God’s Word, Kettle Moraine Lutheran High School educates, encourages, and equips God’s people for life and for eternity.